筋结点微针刀松解术治疗冻结期肩周炎临床研究  

Clinical Study on Micro-Needle Knife at Tendon Nodes for Scapulohumeral Periar⁃thritis in Freezing Period

作　　者：王歆婷[1] 郑士立[1] 方芳[1] 瞿一新 WANG Xinting;ZHENG Shili;FANG Fang;QU Yixin(Acupuncture,Moxibustion and Tuina Department,Wenzhou Traditional Chinese Medicine Hospital,Wenzhou Zhejiang 325000,China)

机构地区：[1]温州市中医院针灸推拿科,浙江温州325000

出　　处：《新中医》2024年第18期119-123,共5页New Chinese Medicine

基　　金：温州市科技计划项目(Y20211093)。

摘　　要：目的:观察筋结点微针刀松解术治疗冻结期肩周炎的临床疗效。方法:将60例冻结期肩周炎患者纳入研究,按随机数字表法分为治疗组与对照组各30例。治疗组采取筋结点微针刀松解术治疗,对照组给予小针刀治疗,比较2组治疗后临床疗效、肩关节功能、疼痛程度[疼痛视觉模拟评分法(VAS)评分]及安全性。结果:治疗组总有效率为96.67%,对照组为80.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组摸耳、摸背、内旋、外旋等肩关节功能评分均较治疗前升高(P<0.05),且治疗组上述各项评分均高于对照组(P<0.05)。治疗后,2组VAS评分较治疗前降低(P<0.05),且治疗组VAS评分低于对照组(P<0.05)。治疗组不良反应发生率为6.66%,对照组为23.33%,2组比较,差异有统计学意义(P<0.05)。结论:筋结点微针刀松解术治疗冻结期肩周炎能显著改善患者肩关节功能,减轻疼痛,疗效优于小针刀治疗,且安全性更高。Objective:To observe the curative effect of micro-needle knife at tendon nodes on scapulohumeral periarthritis in freezing period.Methods:A total of 60 cases of patients with scapulohumeral periarthritis in freezing period were included in the study and divided into the treatment group and the control group according to the random number table method,with 30 cases in each group.The treatment group received micro-needle knife at tendon nodes,and the control group received small needle knife treatment.The clinical effects,shoulder joint function,pain levels[Visual Analogue Scale(VAS)scores],and safety were compared between the two groups after treatment.Results:The total effective rate was 96.67%in the treatment group,and 80.00%in the control group,the difference being significant(P<0.05).After treatment,the shoulder joint function scores such as ear touch,back touch,internal rotation,and external rotation in both groups were increased when compared with those before treatment(P<0.05),and the above scores in the treatment group were higher than those in the control group(P<0.05).After treatment,the VAS scores in both groups were reduced when compared with those before treatment(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05).The incidence of adverse reactions was 6.66%in the treatment group,and 23.33%in the control group,the difference being significant(P<0.05).Conclusion:The micro-needle knife at tendon nodes for scapulohumeral periarthritis in freezing period can significantly improve shoulder joint function and reduce pain in patients,with better efficacy than small needle knife treatment and higher safety.

关 键 词：肩周炎 冻结期 筋结点 微针刀松解术 疼痛 肩关节功能 

分 类 号：R684[医药卫生—骨科学]